HomeMy WebLinkAbout962903WHEN RECORDED MAIL TO:
Sam Sisson dba
Sam's Electric Service
P. O. box 1486
Evanston, WY 82931
RECEIVED 1/25/2012 at 9:15 AM
RECEIVING 962903
BOOK: 779 PAGE: 809
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
NOTICE OF CLAIM OF LIEN
0'0809
NOTICE IS HEREBY GIVEN that the undersigned Lien Claimant hereby claims, and by virtue of the
provisions of Chapter 1 of Title 29 of Wyoming Code Annotated, intends to hold and claim a lien for
labor and services rendered for improvements to or upon the real estate more particularly described
below, lying in and a part of Lincoln County, State of Wyoming, as follows:
NAME ADDRESS OF LIEN CLAIMANT:
AMOUNT CLAIMED DUE AND OWING:
NAME ADDRESS OF PERSON AGAINST
WHOSE PROPERTY THE LIEN IS FILED:
ITEMIZED STATEMENT MATERIALS
DELIVERED WORK PERFORMED:
NAME ADDRESS OF PERSON(S)
AGAINST WHOM LIEN IS CLAIMED:
LEGAL DESCRIPTION OF WHERE MATERIALS
WERE FURNISHED/WORK PERFORMED
SAM SISSON, dba
SAM'S ELECTRIC SERVICE
P. O. Box 1486
Evanston, WY 82931
$9,000.00 Contract Price,
195.00 in Change Orders Extras
525.00 in Costs of Collection and
7,500.00 payment in November of 2011
$2,220.00 balance due and owing
LINDA M. HAMMOND
P. O. Box 8
Cokeville, WY
Rewired Old Home
Removed Old and Installed New Wring
Added Double Duplex Receptacles
LINDA M. HAMMOND
P. O. Box 8
Cokeville, WY
WILLIAM HAMMOND,
(Husband of Linda M. Hammond)
Tina McComber
Logan, UT 84341
(Daughter and Co- Contractor with
Linda M. Hammond)
Lots 11 and 12, Block 9, Cokeville Third
Addition to the Town of Cokeville, Lincoln
Co. WY as described on the official plat,
together with all buildings improvements.
COPY OF CONTRACT: See Work Order /Invoice 2205, attached as
Exhibit "A" hereto
FIRST LABOR AND SERVICES PROVIDED:
LAST LABOR AND SERVICES PROVIDED:
DATED this p? f day of January, 2012.
STATE OF WYOMING
COUNTY OF UINTA
On the day
known to me, or who
SERVICE, and that the
:ss
By
September 2011
January 1, 2012
Notice is hereby provided in accordance with 29 -2 -111 of the Wyoming Code that under Wyoming law
a subcontractor and materialman claims a lien under this title and is hereby providing formal written
notice if his right to claim a lien to the prime contractor Linda M. Hammond. This notice of the right to
claim a lien is being provided to the owner of the property, the project owners, and its general contractor
Linda M. Hammond, William Hammond, and Tina McComber by certified mail, return receipt requested.
Notice of Sam Sisson, dba SAM'S ELECTRIC SERVICE lien is effective on the date this notice is
mailed.
SAM'S ELECTRIC SERVICE
Its Owner Sam Sisson
AMBER LAMB NOTARY Pk4BUC
COUNTY OF STATE OF
UINTA WYOMING
MY COMMISSION 2- zd,3
of January, 2012, personally appeared before me SAM SISSON whose identity is
by me was duly sworn, did say at he is the owner of SAM'S ELECTRIC
foregoing instrument was signed by 11 ai' r weer.
00810
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Ph /Fax (307) 789-0103
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00811
Work Orderf invoice 2205
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